Organization
LESLIE M. PITTS, DMD, PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE M PITTS DMD (PRESIDENT)
(706) 335-7793
Entity
Organization
Contact information
Practice address
215 MERCER PL, COMMERCE, GA 30529-1564
(706) 335-7793
(706) 335-7815
Mailing address
PO BOX 1241, COMMERCE, GA 30529-0023
(706) 335-7793
(706) 335-7815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013095
GA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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